Thanks for Your Order!!
We want to begin processing your order, but we need you to take care of a couple of things before first.
Please follow these next steps:
- Please review the confirmation email to make sure the shipping and billing address are correct.
- If you haven’t sent us your prescription – please email or Fax that to us right away. You can just reply to the confirmation email.
- If you paid by credit or debit card – please fill out and return this form (go ahead and click on it now) to us ASAP. We are unable to process your order until we receive the signed form.
- If you paid by credit card – please contact your credit card company to authorize the charge from “Central Pharmacy” in the UK.
Best of Luck!!
Thank you. Your order has been received.
- Order number: 100006844
- Date: January 18, 2022
- Total: $3,677.00
- Payment method: Credit Card
|MENOPUR (MENOTROPINS) | Sold as : FSH+LH | MFG : FERRING - 75 IU FSH AND 75 IU LH - 5 INJ (No Needles) × 5||$925.00|
|FOLLISTIM AQ (FSH FOLLITROPIN ALPHA) | SOLD AS : PUREGON | MFG : SCHERING PLOUGH (MIN QTY 2) - 900IU × 4||$2,156.00|
|OVIDREL (CHORIOGONADOTROPIN ALFA) | SOLD AS : OVITRELLE | MFG : SERONO IL × 1||$80.00|
|GANIRELIX (ANTAGON) | SOLD AS : ORGALUTRAN | MFG: SCHERING PLOUGH - 250mcg/0.5ml - 1 Syringe × 2||$122.00|
|GANIRELIX (ANTAGON) | SOLD AS : ORGALUTRAN | MFG: SCHERING PLOUGH - 250mcg/0.5ml - 5 Syringes × 1||$295.00|
|Shipping:||$99.00 via Expedited Shipping (6 -10 Business Days)|
|Payment method:||Credit Card|
|Date of Birth:||12/27/1981|
|Patient First Name:||Lisa|
|Patient Last Name:||Burnett|